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Forensic Mental Health - Concepts, systems, and practice (Paperback)
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Forensic Mental Health - Concepts, systems, and practice (Paperback)
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In the UK, we lock up more individuals per year than in any other
part of Europe. Many of these are suffering from some form of
treatable mental disorder, yet too often, prison is viewed as the
only option. Part of the problem is the range of individuals and
specialities involved in making these crucial judgements.
Government departments, health and social care and voluntary sector
organisations, and frontline criminal justice and penal
institutions are all engaged in the definition, management, and
processing of the mentally disordered offender (MDO), leaving the
invidual in 'spiders web' of a system - often to their
disadvantage. This book presents a penetrating and thought
provoking analysis of the forensic mental health system - how it
operates, the people involved, the problems inherent in such a
system, and the huge ethical dilemma of depriving an individual of
their freedom. It brings together a range of specialists, each with
considerable experience, who describe the processes involved in
dealing with an MDO - from their own unique perspective. The book
starts with a section on violence and risk - covering a range of
ideas from the disciplines of criminology, sociology, psychiatry
and psychology that contribute to an understanding of these
concepts. The second section, on Forensic Psychotherapeutic
Approaches to MDOs details the contributions of both cognitive and
psychodynamic psychotherapies to understanding and managing the
psychopathology, risk and interpersonal interactions of MDOs.
Legislation, both statutory and case law, has changed substantially
in relation to MDOs over the last decade and the third section on
Law discusses these changes as well as the fierce debate that has
surrounded them. The fourth section, on Ethics, develops some of
these ideas on capacity, autonomy, vulnerability and
responsibility. It describes common ethical dilemmas for
professionals in forensic settings as it lays out the different
duties involved in the different professional roles intrinsic to
multi-agency working. The fifth section on Social Policy discusses
the development of the concept of the MDO and how penal, health and
social care institutions are designed to meet their needs. It
illustrates how much has changed, especially in the last fifteen
years and how much of that change has been driven by the risk
agenda. The book concludes with an International Section -
exploring how other countries think about anti-social and violent
behaviour and how their circumstances and dilemmas have led to
approaches to MDOs both similar to and different from those of
England and Wales. The book will be essential for both students and
professionals in the complex and ethically challenging discipline
of forensic mental health.
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